Here are the roles of the different individuals in dispensing and prescription:
1. Medical practitioner: Issues prescriptions ordering the required medication for patients. Provides diagnosis and treatment plan.
2. Veterinary surgeon: Issues prescriptions ordering required medication for animal patients. Provides diagnosis and treatment plan for animals.
3. Pharmacist: Reviews prescriptions for accuracy and appropriateness. Prepares, packages, labels, and provides counseling for prescribed medications. Maintains prescription records.
4. Pharmaceutical technologist: Assists pharmacists by preparing medications, ensuring quality control of drugs, and maintaining inventory.
5. Pharmacy assistant: Aids pharmacists by receiving and verifying prescriptions,
Pharmacy compounding - Importance, Non sterile compounding and Sterile compounding, Regulations of US Pharmacoepia, Compounded Products
For any suggestions and questions regarding this ppt please comment below.
Patient Safety is a health care discipline that emerged with the evolving complexity in health care systems and the resulting rise of patient harm in health care facilities.
It aims to prevent and reduce risks, errors and harm that occur to patients during provision of health care.
A cornerstone of the discipline is continuous improvement based on learning from errors and adverse events.
Let us see what Pharmacists, Doctors and Patients can do about it.
Medication errors can occur at various stages including prescribing, dispensing, and administration. They are caused by factors like illegible handwriting, confusion between drug names, interruptions during administration, and lack of knowledge. Some common types of errors are incorrect dose, wrong drug, wrong patient, and omission. To reduce errors, it is important to follow procedures like checking patient identity, having dosages double checked, using electronic systems, and minimizing distractions during administration. When errors occur, they must be promptly reported and an incident report filed to evaluate what went wrong and prevent future errors.
This document outlines steps for analyzing and dispensing prescriptions properly according to good practice principles. It discusses accepting prescriptions, ensuring clinical evaluation, calculating quantities, assembling items, labeling, entering data, finalizing, and documenting prescriptions. Key steps include interpreting prescriptions for legality, completeness, correctness of dose/duration, checking for interactions or allergies, taking a medication history, and verifying any unclear information with the prescriber. The goal is to deliver the right medication to the right patient in the proper dosage and package with clear instructions.
This document discusses various calculations used in sterile compounding. It covers learning objectives, types of calculations including basic formula, ratio and proportion, dimensional analysis, IV flow rates, IV drip rates, and alligations. It provides examples of how to perform each type of calculation and notes the specific scenarios where each method is best used. The goal is for readers to understand the principles and practice calculations to determine the correct method based on the medication and sterile compounding procedure.
Medication errors can occur during prescribing, dispensing, or administration of drugs and include errors like using the wrong drug, wrong dose, or wrong route of administration. Common causes of errors include illegible handwriting, look-alike or sound-alike drug names, distractions, and lack of concentration. Types of errors include prescribing errors, dispensing errors, and administration errors. Reducing errors requires strategies like electronic prescribing, minimizing interruptions during drug administration, verifying patient identity, and ensuring the right drug is given to the right patient at the right time. When errors occur, they must be reported so the safety of the patient can be ensured and steps can be taken to prevent future errors.
Here are the key steps I would take:
1. Return to Mrs. Veena immediately to inform her of the error and assess for any allergic reaction symptoms. Her safety is the top priority.
2. Notify the physician right away about the error so they can determine the appropriate treatment and monitoring plan for Mrs. Veena.
3. Fill out an incident report per hospital policy documenting exactly what occurred, the medications involved, actions taken, patient assessment and outcome.
4. Review the situation to understand what factors may have contributed to the error so I can learn and help prevent similar mistakes going forward. Proper documentation and reporting of all errors is important for quality improvement.
5. Apologize to
The document provides an overview of dispensing and medication counseling. It discusses the dispensing process which involves 6 steps: receiving and validating prescriptions, interpreting prescriptions, preparing and labeling items, making a final check, recording actions taken, and issuing medicine with instructions. Key aspects of each step are outlined such as selecting the proper stock, counting medications accurately, and ensuring quality control checks. The importance of environment, personnel qualifications, and following standard operating procedures are emphasized for ensuring safe and effective dispensing.
Pharmacy compounding - Importance, Non sterile compounding and Sterile compounding, Regulations of US Pharmacoepia, Compounded Products
For any suggestions and questions regarding this ppt please comment below.
Patient Safety is a health care discipline that emerged with the evolving complexity in health care systems and the resulting rise of patient harm in health care facilities.
It aims to prevent and reduce risks, errors and harm that occur to patients during provision of health care.
A cornerstone of the discipline is continuous improvement based on learning from errors and adverse events.
Let us see what Pharmacists, Doctors and Patients can do about it.
Medication errors can occur at various stages including prescribing, dispensing, and administration. They are caused by factors like illegible handwriting, confusion between drug names, interruptions during administration, and lack of knowledge. Some common types of errors are incorrect dose, wrong drug, wrong patient, and omission. To reduce errors, it is important to follow procedures like checking patient identity, having dosages double checked, using electronic systems, and minimizing distractions during administration. When errors occur, they must be promptly reported and an incident report filed to evaluate what went wrong and prevent future errors.
This document outlines steps for analyzing and dispensing prescriptions properly according to good practice principles. It discusses accepting prescriptions, ensuring clinical evaluation, calculating quantities, assembling items, labeling, entering data, finalizing, and documenting prescriptions. Key steps include interpreting prescriptions for legality, completeness, correctness of dose/duration, checking for interactions or allergies, taking a medication history, and verifying any unclear information with the prescriber. The goal is to deliver the right medication to the right patient in the proper dosage and package with clear instructions.
This document discusses various calculations used in sterile compounding. It covers learning objectives, types of calculations including basic formula, ratio and proportion, dimensional analysis, IV flow rates, IV drip rates, and alligations. It provides examples of how to perform each type of calculation and notes the specific scenarios where each method is best used. The goal is for readers to understand the principles and practice calculations to determine the correct method based on the medication and sterile compounding procedure.
Medication errors can occur during prescribing, dispensing, or administration of drugs and include errors like using the wrong drug, wrong dose, or wrong route of administration. Common causes of errors include illegible handwriting, look-alike or sound-alike drug names, distractions, and lack of concentration. Types of errors include prescribing errors, dispensing errors, and administration errors. Reducing errors requires strategies like electronic prescribing, minimizing interruptions during drug administration, verifying patient identity, and ensuring the right drug is given to the right patient at the right time. When errors occur, they must be reported so the safety of the patient can be ensured and steps can be taken to prevent future errors.
Here are the key steps I would take:
1. Return to Mrs. Veena immediately to inform her of the error and assess for any allergic reaction symptoms. Her safety is the top priority.
2. Notify the physician right away about the error so they can determine the appropriate treatment and monitoring plan for Mrs. Veena.
3. Fill out an incident report per hospital policy documenting exactly what occurred, the medications involved, actions taken, patient assessment and outcome.
4. Review the situation to understand what factors may have contributed to the error so I can learn and help prevent similar mistakes going forward. Proper documentation and reporting of all errors is important for quality improvement.
5. Apologize to
The document provides an overview of dispensing and medication counseling. It discusses the dispensing process which involves 6 steps: receiving and validating prescriptions, interpreting prescriptions, preparing and labeling items, making a final check, recording actions taken, and issuing medicine with instructions. Key aspects of each step are outlined such as selecting the proper stock, counting medications accurately, and ensuring quality control checks. The importance of environment, personnel qualifications, and following standard operating procedures are emphasized for ensuring safe and effective dispensing.
Sterile Compounding as a Pharmacy Technician Kdurant36
The document provides an overview of sterile compounding and aseptic technique for pharmacy technicians. It discusses the historical roots of pharmacy and sterile compounding. It also outlines the key roles and responsibilities of pharmacy technicians in preparing sterile compounded preparations and defines important terms like aseptic technique. Maintaining aseptic technique is crucial for patient health and safety. The document reviews the training and certification requirements for pharmacy technicians set by organizations like USP and state boards of pharmacy.
-ROLE OF PHARMACIST IN HOSPITAL PHARMACY.pptxGeletaGalataa
The role of pharmacists in hospital pharmacy can be categorized into four major areas: general responsibilities, dispensing responsibilities, clinical pharmacy services, and research. Pharmacists ensure policies and procedures are followed, maintain competence through continuing education, and provide drug information to patients and other healthcare professionals. They are responsible for dispensing medications properly, providing clinical services like patient reviews and therapeutic drug monitoring, and conducting research in areas like policies, drug distribution, and clinical studies.
A community pharmacy dispenses medicine and provides pharmaceutical services to a local community under the supervision of a registered pharmacist. There are two registers for recording controlled drugs - one for narcotics and the other for other drugs. Auditing involves the official examination and verification of accounts, records, buildings, or other facilities to evaluate performance and identify areas for improvement. The word 'audit' comes from the Latin word 'audire' meaning 'to hear.' Clinical audits systematically review patient care against criteria to improve outcomes through changes implemented at individual, team or service levels which are then monitored for confirmation of healthcare delivery improvements.
The Role of Pharmacist in Patient SafetyArwa M. Amin
Module: Pharmacy Professional Skills
Coordinator: Dr. Arwa M. Amin Mostafa
Academic Level: Undergraduate, B.Pharmacy
School: Dubai Pharmacy College
Year of first presented in Class: 2018
This presentation is for Educational purpose. It has no commercial value associated with it.
hOME MEDICATION REVIEW IS out standing self-employment opportunities with good clinical skills and hand on practice for pharm d students..its well an established program in Australia.
Medication reconciliation is the process of comparing a patient's medication list to a physician's orders to minimize errors. It occurs at admission, transfer, discharge, and after surgery. Nurses document the patient's home medications and ED medications. Physicians then reconcile all current and home medications within 24 hours, noting any changes. Discharge reconciliation reviews chronic, new, and active medications to prevent duplication or interactions and provide a complete list for continued care.
RESEARCH IN HOSPITAL PHARMACY and PHARMACY EDUCATIONAsra Hameed
RESEARCH IN HOSPITAL PHARMACY:
Advancement of pharmacy practice and healthcare
Pharmacists play a vital role in the health care system through the medicine and information they provide. Pharmacy education is the broad term which mainly involves the
Pharmacist educational requirements and carrier
Patient education
Drug distribution is defined as, "Physical transfer of drugs from storage area in the hospital to the patient's bedside".
This involves two types of drug distribution. They are:
In-patient distribution
Out-patient distribution
The drug distribution to the in patient department can be carried out from the out patient dispensing area.
The pharmacists involved in dispensing the drugs for out patient can dispense drugs for in patients too.
The pharmacist employed for drug distribution to the in patient wards should be well skilled and qualified staff.
Out patient refers to the patients not occupying beds in hospital or in clinics, health centers and other places where out patients usually go for health care.
No medicaments should be issued without the prescription.
After the issue has been made the quantities supplied must be recorded.
In short form the out patient department was called as OPD.
CLASSIFICATION OF PATIENTS
EMERGENCY
TERTIARY CARE
PRIMARY CARE
AMBULATORY.
This document discusses various methods of drug dispensing to inpatients in hospitals. It describes four main systems: individual drug order system, floor stock system, combined individual/floor stock system, and unit dose distribution system. The floor stock system involves storing drugs on patient floors while the unit dose system dispenses single doses from a central pharmacy. Newer methods like automated dispensing cabinets aim to improve efficiency by electronically transmitting orders and dispensing medications directly from computerized cabinets. Overall the document provides an overview of traditional and emerging approaches to delivering medications to hospitalized patients.
Sterilization techniques in hospitals.pdfMudabbir7
Khan Mutaba Farooq's document discusses various sterilization techniques used in hospitals. It describes five main sterilization methods: 1) moist heat sterilization using steam under pressure, 2) dry heat sterilization using hot air ovens, 3) gas sterilization using agents like ethylene oxide, 4) sterilization by radiation using electromagnetic waves or particles, and 5) sterilization by filtration using membrane filters to remove microbes. Successful sterilization is important for working in medical facilities to prevent life-threatening consequences from microbial contamination.
This document discusses controlled substances and their regulations. It defines controlled substances as drugs with potential for abuse or dependence. It categorizes controlled substances into 5 schedules based on their abuse potential and accepted medical use. It outlines the roles and responsibilities of various parties like administration, pharmacists, and nurses in properly ordering, storing, dispensing and recording controlled substances in hospitals. It discusses policies around prescribing, administering, and charging patients for controlled substances.
This document provides an overview of topics related to medication orders and labeling. It discusses the historical roots of prescriptions and medical terminology. The document outlines learning objectives and topics that will be covered, including medication orders, types of orders, order contents and processing, sterile compound labeling, and medical abbreviations. It provides introductory information on orders, root words, and signa language used for writing orders.
The document discusses pharmacokinetics of intravenous drug infusion. It describes how a drug administered via constant IV infusion will reach a steady state plasma concentration determined by the infusion rate and drug clearance. It also discusses factors that affect this steady state concentration and the time required to reach it, such as volume of distribution and elimination half-life. Compartmental models including one, two, and multi-compartment models are introduced to explain drug distribution and elimination kinetics over time.
Medication errors are a significant problem in healthcare that can harm patients. They occur commonly at various stages of the medication process including prescribing, transcribing, preparing, dispensing, and administering medications. Several studies over decades have found high rates of medication errors and preventable adverse drug events in hospitals. James Reason developed a widely used model for classifying errors as either active failures by frontline staff or latent failures due to upstream organizational or management issues. Understanding the causes of errors through models like Reason's can help pharmacists and other healthcare providers develop effective strategies to improve medication safety.
The document discusses hospital formularies, which are lists of approved medications used in hospitals. A hospital formulary is developed and revised by the Pharmacy and Therapeutics Committee to reflect the current views of medical staff. It includes generic drugs when possible to help control costs. The formulary provides essential information on approved medications to guide doctors' prescribing and aid rational drug use. It undergoes annual revisions to add new drugs and remove outdated ones.
The document discusses regulatory requirements for patient information leaflets for implantable medical devices. It must include:
1) Device identification information and intended purpose.
2) Instructions for use, intended performance, and potential side effects.
3) Residual risks and any risks from interactions with other equipment, as well as monitoring requirements.
4) Materials used and manufacturing residuals that pose risks.
5) Requirements to report incidents to the manufacturer and regulatory agency.
The leaflet is intended to safely inform patients and be updated over time with new evidence, working in conjunction with the static implant card. Feedback is sought on scope, format and delivery of information.
Basic principles of compounding and dispensing (Prescription) MANIKImran Nur Manik
Weight, measure and units calculation for compounding and dispensing. Fundamental operation in compounding. Good pharmaceutical practices in compounding and dispensing. Containers and closures for dispensed products. Responding to prescription, labeling of dispensed medications.
Patient counseling refers to providing patients information to help them appropriately use their medications. The goals of counseling include improving patient understanding of their illness and treatment, adherence to medications, and quality of life while reducing health care costs. Effective counseling requires strong communication skills and involves preparing, opening the session, discussing the medication counseling points, and closing by addressing patient questions and summarizing key points. Barriers to counseling can be patient-related, such as a language difference, or provider-related like a lack of counseling skills or time constraints. Overcoming these barriers is important to improve counseling.
The document discusses the role and scope of community pharmacy. It begins by defining community pharmacy as a place that dispenses medicines with or without a prescription and provides professional services. It outlines the roles of community pharmacists as dispensing medicines accurately, providing counseling, disseminating unbiased drug information, and promoting health. Globally, the role of pharmacists has shifted from product-focused to patient-focused, taking on roles like medication management and screenings. The document discusses pharmacy practice in various countries and the evolving role and responsibilities of community pharmacists in India.
Sterile Compounding as a Pharmacy Technician Kdurant36
The document provides an overview of sterile compounding and aseptic technique for pharmacy technicians. It discusses the historical roots of pharmacy and sterile compounding. It also outlines the key roles and responsibilities of pharmacy technicians in preparing sterile compounded preparations and defines important terms like aseptic technique. Maintaining aseptic technique is crucial for patient health and safety. The document reviews the training and certification requirements for pharmacy technicians set by organizations like USP and state boards of pharmacy.
-ROLE OF PHARMACIST IN HOSPITAL PHARMACY.pptxGeletaGalataa
The role of pharmacists in hospital pharmacy can be categorized into four major areas: general responsibilities, dispensing responsibilities, clinical pharmacy services, and research. Pharmacists ensure policies and procedures are followed, maintain competence through continuing education, and provide drug information to patients and other healthcare professionals. They are responsible for dispensing medications properly, providing clinical services like patient reviews and therapeutic drug monitoring, and conducting research in areas like policies, drug distribution, and clinical studies.
A community pharmacy dispenses medicine and provides pharmaceutical services to a local community under the supervision of a registered pharmacist. There are two registers for recording controlled drugs - one for narcotics and the other for other drugs. Auditing involves the official examination and verification of accounts, records, buildings, or other facilities to evaluate performance and identify areas for improvement. The word 'audit' comes from the Latin word 'audire' meaning 'to hear.' Clinical audits systematically review patient care against criteria to improve outcomes through changes implemented at individual, team or service levels which are then monitored for confirmation of healthcare delivery improvements.
The Role of Pharmacist in Patient SafetyArwa M. Amin
Module: Pharmacy Professional Skills
Coordinator: Dr. Arwa M. Amin Mostafa
Academic Level: Undergraduate, B.Pharmacy
School: Dubai Pharmacy College
Year of first presented in Class: 2018
This presentation is for Educational purpose. It has no commercial value associated with it.
hOME MEDICATION REVIEW IS out standing self-employment opportunities with good clinical skills and hand on practice for pharm d students..its well an established program in Australia.
Medication reconciliation is the process of comparing a patient's medication list to a physician's orders to minimize errors. It occurs at admission, transfer, discharge, and after surgery. Nurses document the patient's home medications and ED medications. Physicians then reconcile all current and home medications within 24 hours, noting any changes. Discharge reconciliation reviews chronic, new, and active medications to prevent duplication or interactions and provide a complete list for continued care.
RESEARCH IN HOSPITAL PHARMACY and PHARMACY EDUCATIONAsra Hameed
RESEARCH IN HOSPITAL PHARMACY:
Advancement of pharmacy practice and healthcare
Pharmacists play a vital role in the health care system through the medicine and information they provide. Pharmacy education is the broad term which mainly involves the
Pharmacist educational requirements and carrier
Patient education
Drug distribution is defined as, "Physical transfer of drugs from storage area in the hospital to the patient's bedside".
This involves two types of drug distribution. They are:
In-patient distribution
Out-patient distribution
The drug distribution to the in patient department can be carried out from the out patient dispensing area.
The pharmacists involved in dispensing the drugs for out patient can dispense drugs for in patients too.
The pharmacist employed for drug distribution to the in patient wards should be well skilled and qualified staff.
Out patient refers to the patients not occupying beds in hospital or in clinics, health centers and other places where out patients usually go for health care.
No medicaments should be issued without the prescription.
After the issue has been made the quantities supplied must be recorded.
In short form the out patient department was called as OPD.
CLASSIFICATION OF PATIENTS
EMERGENCY
TERTIARY CARE
PRIMARY CARE
AMBULATORY.
This document discusses various methods of drug dispensing to inpatients in hospitals. It describes four main systems: individual drug order system, floor stock system, combined individual/floor stock system, and unit dose distribution system. The floor stock system involves storing drugs on patient floors while the unit dose system dispenses single doses from a central pharmacy. Newer methods like automated dispensing cabinets aim to improve efficiency by electronically transmitting orders and dispensing medications directly from computerized cabinets. Overall the document provides an overview of traditional and emerging approaches to delivering medications to hospitalized patients.
Sterilization techniques in hospitals.pdfMudabbir7
Khan Mutaba Farooq's document discusses various sterilization techniques used in hospitals. It describes five main sterilization methods: 1) moist heat sterilization using steam under pressure, 2) dry heat sterilization using hot air ovens, 3) gas sterilization using agents like ethylene oxide, 4) sterilization by radiation using electromagnetic waves or particles, and 5) sterilization by filtration using membrane filters to remove microbes. Successful sterilization is important for working in medical facilities to prevent life-threatening consequences from microbial contamination.
This document discusses controlled substances and their regulations. It defines controlled substances as drugs with potential for abuse or dependence. It categorizes controlled substances into 5 schedules based on their abuse potential and accepted medical use. It outlines the roles and responsibilities of various parties like administration, pharmacists, and nurses in properly ordering, storing, dispensing and recording controlled substances in hospitals. It discusses policies around prescribing, administering, and charging patients for controlled substances.
This document provides an overview of topics related to medication orders and labeling. It discusses the historical roots of prescriptions and medical terminology. The document outlines learning objectives and topics that will be covered, including medication orders, types of orders, order contents and processing, sterile compound labeling, and medical abbreviations. It provides introductory information on orders, root words, and signa language used for writing orders.
The document discusses pharmacokinetics of intravenous drug infusion. It describes how a drug administered via constant IV infusion will reach a steady state plasma concentration determined by the infusion rate and drug clearance. It also discusses factors that affect this steady state concentration and the time required to reach it, such as volume of distribution and elimination half-life. Compartmental models including one, two, and multi-compartment models are introduced to explain drug distribution and elimination kinetics over time.
Medication errors are a significant problem in healthcare that can harm patients. They occur commonly at various stages of the medication process including prescribing, transcribing, preparing, dispensing, and administering medications. Several studies over decades have found high rates of medication errors and preventable adverse drug events in hospitals. James Reason developed a widely used model for classifying errors as either active failures by frontline staff or latent failures due to upstream organizational or management issues. Understanding the causes of errors through models like Reason's can help pharmacists and other healthcare providers develop effective strategies to improve medication safety.
The document discusses hospital formularies, which are lists of approved medications used in hospitals. A hospital formulary is developed and revised by the Pharmacy and Therapeutics Committee to reflect the current views of medical staff. It includes generic drugs when possible to help control costs. The formulary provides essential information on approved medications to guide doctors' prescribing and aid rational drug use. It undergoes annual revisions to add new drugs and remove outdated ones.
The document discusses regulatory requirements for patient information leaflets for implantable medical devices. It must include:
1) Device identification information and intended purpose.
2) Instructions for use, intended performance, and potential side effects.
3) Residual risks and any risks from interactions with other equipment, as well as monitoring requirements.
4) Materials used and manufacturing residuals that pose risks.
5) Requirements to report incidents to the manufacturer and regulatory agency.
The leaflet is intended to safely inform patients and be updated over time with new evidence, working in conjunction with the static implant card. Feedback is sought on scope, format and delivery of information.
Basic principles of compounding and dispensing (Prescription) MANIKImran Nur Manik
Weight, measure and units calculation for compounding and dispensing. Fundamental operation in compounding. Good pharmaceutical practices in compounding and dispensing. Containers and closures for dispensed products. Responding to prescription, labeling of dispensed medications.
Patient counseling refers to providing patients information to help them appropriately use their medications. The goals of counseling include improving patient understanding of their illness and treatment, adherence to medications, and quality of life while reducing health care costs. Effective counseling requires strong communication skills and involves preparing, opening the session, discussing the medication counseling points, and closing by addressing patient questions and summarizing key points. Barriers to counseling can be patient-related, such as a language difference, or provider-related like a lack of counseling skills or time constraints. Overcoming these barriers is important to improve counseling.
The document discusses the role and scope of community pharmacy. It begins by defining community pharmacy as a place that dispenses medicines with or without a prescription and provides professional services. It outlines the roles of community pharmacists as dispensing medicines accurately, providing counseling, disseminating unbiased drug information, and promoting health. Globally, the role of pharmacists has shifted from product-focused to patient-focused, taking on roles like medication management and screenings. The document discusses pharmacy practice in various countries and the evolving role and responsibilities of community pharmacists in India.
This document discusses the role and responsibilities of hospital pharmacists. It begins by defining hospital pharmacy as the department responsible for procuring, storing, and distributing medications in a hospital setting. The scope of hospital pharmacy has expanded beyond traditional dispensing roles to include clinical services like reviewing medications for safety and providing drug information. The document outlines the organizational structure of hospital pharmacies and the professional responsibilities, qualifications, and job specifications of hospital pharmacists. It discusses standards and guidelines for good pharmacy practice from organizations like FIP, ASHP, and within India. Overall, the document provides an overview of the hospital pharmacy system and pharmacists' patient care roles within it.
The document discusses World Pharmacists Day, which is celebrated annually on September 25th. It was established by the International Pharmaceutical Federation in 2009 to recognize pharmacists' role in improving health worldwide. This year's theme is "Transforming Global Health" to highlight how pharmacists develop medicines, provide patient care and ensure access to healthcare. Pharmacists are very accessible as over 90% of Americans live within 5 miles of a pharmacy. The day aims to appreciate pharmacists and their important work, especially during the difficult times of the COVID-19 pandemic.
HISTORICAL BACKGROUND & DEVELOPMENT OF PROFESSION OF PHARMACYTeny Thomas
The following presentation deals with what the course of pharmacy is and what a pharmacist is. Also a short brief on the historical growth of the profession of pharmacy when related to education and industry is also discussed here. A detailed view on career in pharmacy is described lastly.
This document discusses clinical pharmacy, including definitions, the status of clinical pharmacy in India, the scope and history of clinical pharmacy, activities of clinical pharmacists, clinical pharmacy practice areas, guidelines for pharmacotherapy specialists, clinical pharmacokinetics, drugs that can be monitored through therapeutic drug monitoring, reasons to request TDM, and the responsibilities of clinical pharmacists. It outlines how clinical pharmacy aims to optimize drug therapy for patients through various roles like consulting, drug information provision, and patient monitoring.
hospital pharmacy inventory good pharmacySanjiv Pandey
This document provides guidelines for good pharmacy practice (GPP). It discusses the core principles of GPP, which include prioritizing patient welfare, helping patients make best use of medicines, and promoting rational medicine use. The guidelines identify four main activities for standards: promoting health and avoiding illness, supplying and using medicines, self-care, and influencing prescribing. It also outlines requirements for personnel, premises, equipment, quality policies, service strategies, and workload statistics. The goal is to establish standards to ensure optimal patient care through pharmacy services.
This document outlines Samson G/Hiwot's pharmacy practice attachment objectives and observations at Simret Drug Store. The objectives are to identify commonly available drugs and emergency medicines, and develop pharmaceutical care skills. Simret Drug Store has 2 pharmacy professionals and serves 55 customers daily. Key services include dispensing prescriptions, patient counseling, record keeping, and medication therapy management. Samson notes strengths like clean premises and weaknesses like a lack of adverse drug reaction reporting. He contributed by dispensing properly, providing counseling, and recommending improvements to address weaknesses.
The document provides an overview of clinical pharmacy, including its definition, development, and scope. It defines clinical pharmacy as using pharmacist knowledge and skills to improve drug safety, cost, and use in patient care. It describes how clinical pharmacy emerged in developed countries and is still developing in India. The scope of clinical pharmacy involves optimizing medication use and promoting health through advising on safe and rational drug use. Clinical pharmacists work with healthcare teams to ensure optimal and safe drug therapy for patients.
Dispensing Lab Timeline, Understanding And Psycho Social Developmentdunerafael
The document outlines the timeline of the pharmacy profession from the 1900s to 2000s. It describes major events and developments over the decades, including the establishment of pharmacy schools and regulations, discoveries of new drugs, expanded roles of pharmacists, and the creation of organizations like the FDA. The timeline shows how pharmacists transitioned from compounding medications to taking on more clinical roles as advisors on drug therapy and members of healthcare teams.
Community pharmacy is a place where medicines are stored, dispensed, and various healthcare services are offered by qualified pharmacists. The roles of a community pharmacist include processing prescriptions, providing patient counseling, treating minor ailments, promoting health, and maintaining pharmacy records. A community pharmacy must be properly established and managed in accordance with legal requirements regarding licensing, staff qualifications, and drug stocking. Community pharmacists have an ethical code to provide quality services, handle prescriptions carefully, maintain fair business practices, and uphold the dignity of the profession.
This document provides an introduction to pharmacy, including definitions, roles, and practices. It defines pharmacy as the science of preparing and dispensing medications. Pharmacists are educated and licensed professionals who prepare, dispense, and provide drug information to the public. Pharmacist duties include interpreting prescriptions, compounding, labeling, and dispensing drugs, as well as providing patient education. There are several career paths for pharmacists in settings like communities, hospitals, industry, and academia. The document also outlines the code of ethics pharmacists must follow and good dispensing practices around labeling, storage, and maintaining a clean environment.
Community pharmacists play an important role in public health by ensuring the appropriate use of medications. They process prescriptions, provide clinical care and counseling to patients, monitor drug usage, and inform health professionals and the public about medications. Community pharmacists also produce some medications, advise on minor ailments, participate in health campaigns, and provide services to veterinary and agricultural practices. They are highly accessible health professionals who aim to promote the safe, effective, and rational use of drugs.
This document outlines the roles and responsibilities of pharmacists in 6 key areas: 1) preparing, obtaining, storing, distributing, administering, and disposing of medicines, 2) providing medication therapy management, 3) maintaining and improving professional performance through continuing education, 4) contributing to the effectiveness of the healthcare system and public health, 5) disseminating evaluated health information, and 6) engaging in preventive healthcare services and complying with professional guidelines. The roles emphasize optimizing medication use and ensuring patient safety.
Introduction to clinical pharmacy practiceAimen Salman
Clinical pharmacy involves optimizing medication use for patients and promoting health. It focuses on applying pharmacists' expertise with pharmaceuticals to directly improve patient care. Historically, clinical pharmacy emerged in response to drug-related issues in the 1960s. A clinical pharmacist's role includes activities like medication management, patient education, and adverse drug reaction monitoring to develop individualized care plans with the healthcare team. The overall goal is to maximize the benefits and minimize the risks of drug therapy for each patient.
• Introduction
• The main activities of community pharmacists
• Processing of prescriptions
• Care of patients or clinical pharmacy
• Extemporaneous preparation and small-scale manufacture of medicines
• Traditional and alternative medicines
• Monitoring of drug utilization
• Responding to symptoms of minor ailments
• Informing health care professionals and the public
• Health promotion
• Domiciliary services
• Rational Use of Drugs
• Individualization of Drug
• Community Pharmacists Play Key Role in Improving Medication Safety
• Pharmacists as a Community Resource
• Conclusion
Clinical pharmacy involves utilizing pharmacists' knowledge and skills to ensure safe and effective medication use. In developed countries, clinical pharmacy is well-established, but in India it is still developing. Clinical pharmacists work directly with patients and healthcare teams to optimize medication therapy, promote health, and prevent disease. They perform important functions like collecting patient data, identifying drug-related problems, monitoring treatment, and providing medication education.
The document provides an overview of the pharmacy profession through history. It discusses how the role of pharmacists has evolved from compounding medications to a focus on clinical services like counseling patients, monitoring drug therapies, and preventing medication-related problems. The modern pharmacist's responsibilities include dispensing drugs, providing drug information, and advising on proper medication use. Pharmacists work in various settings like community pharmacies, hospitals, long-term care facilities, and home healthcare. The future of the profession remains focused on pharmaceutical care and positive patient outcomes.
Presentation deals with the topic "scope of pharmacy". The topic is part of paper IV P.G final year syllabus of Rasashastra and Bhaishajya Kalpana. It will provide basic information regarding this topic.
Similar to Basic Dispensing lecture notes.docx (20)
Mercurius is named after the roman god mercurius, the god of trade and science. The planet mercurius is named after the same god. Mercurius is sometimes called hydrargyrum, means ‘watery silver’. Its shine and colour are very similar to silver, but mercury is a fluid at room temperatures. The name quick silver is a translation of hydrargyrum, where the word quick describes its tendency to scatter away in all directions.
The droplets have a tendency to conglomerate to one big mass, but on being shaken they fall apart into countless little droplets again. It is used to ignite explosives, like mercury fulminate, the explosive character is one of its general themes.
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
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1. PCT 212 LECTURE NOTES
WEEK ONE
SCOPE OF HOSPITAL DISPENSING PRACTICE
Dispensing is defined as the review of a prescription and the preparation,
packaging, labeling, record keeping and transfer of the prescribed medicine
including counseling to a patient, their agent, or another person who is responsible
for the administration of the medicine to that patient.
Good medicine dispensing practice refers to the delivery of the correct medicine to
the right patient, in the required dosage and quantities, in the package that
maintains acceptable potency and quality for the specified period, clear medicine
information counseling and appropriate follow up. This practice is a key step for
effective treatment outcome. Though rational medicine therapy requires the
concerted efforts of all health care professionals, the role of pharmacy professional
is immense.
Traditionally, pharmacy professionals’ primary responsibility has been stocking,
distributing and maintaining quality of medicines dispensed. Nowadays, this role
has emphasized more on advising the prescribers and other health professionals
about medicine therapy, counseling patients about medicines and monitoring
medicine use. Pharmacy professionals bridge the gap between the prescriber and
the patient and serve as the gate-keepers of medicine supply system.
The dispenser plays a very important role in ensuring that medicines are used
appropriately and that patients benefit from treatment. All efforts and resources to
make medicines available at health facilities will be wasted if the patient is not
given the correct medicine, dose, and information needed to make sure that he or
she takes the medicines correctly.
Dispensing includes all the activities that occur between the time the dispenser
receives the prescription and when the dispenser hands it to the patient. Good
dispensing takes time. Good dispensing practices ensure that each patient receives:
His/her correct medicine
2. The correct dosage and quantity
Correctly labelled, well-packaged container to maintain medicine quality
A safe, clean, and organized working environment provides a basis for good
practice. Dispensing must be performed accurately and should be done in an
orderly manner, with disciplined use of effective procedures. Care should be taken
to read labels accurately. The dispenser must count and measure carefully and
guard against contamination of medicines by using clean equipment and never
allowing skin contact with the medicines. The dispensing environment includes:
Staff
Physical surroundings
Shelving and storage areas
Surfaces used during work
Equipment and packaging materials.
Staff members who dispense must be trained in the knowledge, skills, and
practices necessary to dispense the range of medicines prescribed at the facility.
Their performance should be regularly monitored.
Ensuring patients understanding of how to take their medicines is a primary
responsibility of dispensers. Dispensers should check understanding by asking
each patient to repeat instructions.
Good records, though sometimes neglected, are an essential part of dispensing;
they facilitate good management and monitoring of services provided.
Differences between Dispensing and Compounding
COMPOUNDING DISPENSING
It involves preparation, mixing,
lebelling and packing of a
drug/medicine.
It involves giving already available
packed medicine/drug manufactured by
pharmaceutical manufacturers to patient
or patient’s caretaker by evaluation of
3. prescription.
Compounding could be performed only
in pharmacy.
Dispensing is performed in pharmacy
and chemist.
Technical knowledge is required for
compounding, so it must be carried out
by pharmacist itself.
It doesn’t require deep technical
knowledge, so it can be carried out by
helper under supervision of pharmacist.
Standard references should be followed
during compounding and compounded
medicines should be labeled properly.
It doesn’t necessarily need standard
reference to follow because already
packed medicines/drug involves in the
process.
WHAT IS PRESCRIPTION?
A Prescription is the written medication ordered by a doctor, dentist, surgeon,
veterinarian or any other registered medical prescriber to the pharmacist, for the
supply of a medicine, dressing or surgical appliance to a patient.
Pharmacists are increasingly being given prescribing privileges by enactment of
sate collaborative drug therapy management ( CDTM) legislation. This
allows pharmacists to order new medication or change the dose of existing
medications under established protocols or guidelines agreed upon by the
pharmacist and physician.
Prescriptions may be written, presented orally (by telephone), or presented
electronically (i.e., via fax or computer network) to the pharmacist. The
prescription serves as a vehicle for communication from the prescriber to the
pharmacist about the needs of the patient.
4. WEEK TWO
HISTORY OF PHARMACY PRACTICE IN NIGERIA
The pharmacy profession did not originate from Nigeria. Pharmacy practice
technically was the first form of science when humans use nature e.g herbs to treat
diseases. The pharmacy program was part of medical science. It went a separate
way from medical science in the year 1240 by the emperor of the Holy Roman
Empire, Federick II of Hohenstaufen. The first ever know pharmacy shop in the
world was in Baghdad, Iraq during the 8th
century. It took centuries before the
first ever pharmacy shop came to Nigeria.
Early Years of European Pharmacy Practice
This era covers the period from the late 19th
century to the first few decades of the
20th
century. Pharmacy education during this period started with training of
Nigerians in dispensing through apprenticeship under physicians, to prepare simple
solutions and mixtures and subsequently either serving as dispensers in the
hospitals or opening medicine shops to serve Nigerian community. An example of
such early shops was that of Mr Richard Zaccheus Bailey, which was opened in
1887 along Balogun Street in Lagos.
Later on experienced dispensers and reputed pharmaceutical companies were
allowed to train others. Again, Mr Bailey was an example of such early trainer of
dispensers. With time apprenticeship training in hospitals under physicians became
more formal and regular. By the beginning of the 3rd
decade of the 20th
century (i.e
the 1920’s). it became clear that the apprenticeship programme could no longer
meet the need for pharmacy services in nigeria, and preparations were made
through legislation to open school of pharmacy for training of dispensers. This plan
materialized through the establishment of a school of pharmacy at Yaba, Lagos for
the purpose in 1925.
Hospital Pharmacy Practice
A clear majority of the “pharmacists” in the early part of this era were actually
“dispensers”. The hospitals or dispensaries were managed under the supervision of
5. the medical officers in charge of such hospitals in Nigeria as at 1990. These
hospitals were located in Lagos, Asaba, Abeokuta, and Calabar, three of which
were government hospitals and one, a mission (catholic) hospital. These hospitals
used a common hospital formulary. There were also a number of mission medical
set-ups before this date in some coastal towns, which could not be described as
hospitals. However, there was a steady growth in the number of hospitals both
government and mission between 1900 – 1960.
Community Pharmacy Practice
In community practice, the first medicine shop was opened in 1887 by Mr
Richard Zaccheus Bailey in present day Balogun street of Lagos state. It was
primarily to cater for his European clients and a few African elites. Other retail
pharmacies did not come into existence until the 1920’s and much later. The West
African drug Company Ltd was established in 1924, while commercial Medicine
stores (by Chief S.T. Hunponu-Wusu and Mr Robert Olatunji Adebowale) and
Phillips Medicine Stores (by Thomas King Ekundayo Phillips) were established in
the 1940’s all in lagos. Several years went by before retail pharmacies were opened
in the towns of the old Western, eastern and Northern regions of Nigeria. By the
end of 1960, as many as 150 community pharmacy shops had been established
while a total number of registered pharmacists (many of who were not in
community or general pharmacy practice) was 542.
Industrial Pharmacy Practice
Industrial pharmacy was evident with the arrival of May and Baker in 1944, Glaxo
and Pfizer in 1954. These pharmaceutical companies were mainly into importation
and marketing of pharmaceuticals. Large-scale drug production began in the 60’s
involving governmental agencies, multinational companies and private
enterpreneurs. Presently, there are more than 115 registered pharmaceutical
manufacturers in Nigeria. These companies manufacture various pharmaceutical
dosage forms cutting across various therapeutic classes. In addition to providing
dependence high – quality pharmaceutical products to medical professionals and
6. patients in various communities in Nigeria and west Africa, they have also
contributed greatly to the economic growth of the nation.
HOSPITAL PHARMACY PERSONNEL AND THEIR FUNCTIONS
1. Chief Pharmacist
Implementation of decision of Therapeutic Committee
Dispensing of drugs, pharmaceuticals and chemicals to different areas.
Maintenance of approved stock of emergency drugs and antidotes.
Dispensing of narcotic drugs and accounting.
Specification for various fluids
Inspection of drugs at various points of use
Preparation of indents, issue and receipt voucher
Inventory control
Maintenance of stores, ledgers and records
Provision of alternate electricity supply
Inspection and quality control
Teaching and training of pharmacist
Periodic utilization report of pharmacy
Patient education.
2. Records and Registrars
Stock ledger of different group of drugs
Indent and receipt voucher
Drug inspection report
index registrar and bin cards
Expiry date registrar
Adverse reaction record
File of correspondence with suppliers and units
Ledger account for payment of vouchers
Condemnation record for non-consumables and consumables
Annual stock verification record
7. Hospital formulary
Antibiotic policy.
3. Hospital Pharmacists
Check prescriptions to make sure there are no errors and that they’re
appropriate and safe for the individual patient.
Provide advice on the dosage of medicines and the most appropriate
form of medication, for example, tablet, injection, ointment or inhaler;
Participate in ward rounds to take patient drug histories;
Liaise with other medical staff on problems patients may experience
when taking their medicines.
Discuss treatments with patients’ relatives, community pharmacists and
GPs;
Make sure medicines are stored appropriately and securely
Supervise work of less experienced and less qualified staff.
Keep up to date with, and contribute to, research and development;
Write guidelines for drug use within the hospital and implement hospital
regulations.
4. Pharmacy Technicians / Assistant Pharmacists
Assisting the pharmacists to prepare medications for patients
Receiving and verifying the prescriptions
Pricing and filling of prescriptions
Obtaining pharmacist’s approval
Completing patient paperwork related to the filling of prescription
Assisting with insurance claims processing (usually a pharmacist will
handle this, but assistant’s help will be needed – the entire process is
done online)
Stocking and pricing of medications in inventory
Ensuring availability of drugs by delivering them to patients or facilities
Maintaining pharmacy’s (and its patients’ employees’) safety by adhering
to infection-control procedures, policies and regulations.
8. ORGANOGRAM OF A HOSPITAL PHARMACY
Assignment
1. Differentiate between community pharmacy and hospital pharmacy.
2. Outline the organogram of a community pharmacy.
3. Who is a dispenser?
WEEK THREE
UNDERSTANDING PARTS OF PRESCRIPTION
PARTS OF A PRESCRIPTION
The prescription contains the following information:
9. 1. Date of the Prescription:
This is necessary for the prevention of misuse of prescription,
especially the ones which contain narcotics and controlled drugs.
It also helps the pharmacist to keep day-day Patient’s record in
chronological order which helps the pharmacist or a physician to refer
the old case in future.
The pharmacist should advice the patients to visit the doctor again.
2. The Patient’s Name, Age, Sex and Address:
Name, Age, Sex and Address of the patient must be written on the
prescription.
Name helps the pharmacist to identify the correct Patients avoiding
any chance of giving the medicine to a person other than the one it is
dispensed for.
Note: patient’s full name must be written instead of nicknames or
surnames.
10. Age of the patient becomes important in the case of the Pediatric
(children) and Geriatric (old people) cases. Because the dose of drugs
in such cases varies (due to their differences in ability to metabolize
drugs).
Hence dose of the drugs are calculated based on the age factor in such
cases.
Note: In some cases, weight and height of the patients are also
required.
Sex/Gender of the patient also plays major role in prescription
because the dose of drugs may also vary based on the sex/gender of
the patients (as their abilities to metabolize/response towards drugs
may vary in many cases).
Address of the patient is generally recorded to contact the person at
the later stage or to deliver the medication personally.
3. Superscription:
This part of the prescription is represented by the symbol RX.
In the ancient times it is considered as a prayer to Jupiter the God of
healing for the fast recovery of the patient.
Nowadays, it is used as an abbreviation for the Latin term “Take
Thou” which means ‘you take”.
4. Inscription:
This is considered as the main part of the prescription order.
It contains the names and quantities of the prescribed ingredients.
The name of each ingredient is written on a separate along with its
quantity.
In the complex prescription containing several ingredients the
inscription can be divided into the following parts:
Base (active medicament of therapeutic action)
Adjuvants (substances added to increase action of
medicament/its palatability).
Vehicle (substances used to dissolve medicament/increase
volume of prescription).
5. Subscription:
11. This part of prescription contains directions of the prescriber to the
pharmacist regarding the type and compounding of dosage form
along with number of doses to be dispensed.
This is important because dose of drug also depends on the type of
the dosage form.
6. Signatura:
This part of the prescription contains directions to the patient
regarding the administration of drugs.
It is generally represented as ‘Sig’ on the prescription.
The instructions for the patient may include:
The method of administration and application
The dose if the preparation is for internal use.
The time of administration or application
The diluents (e.g water) if relevant, or means of application
(e.g. brush).
The part of body where the preparation is to be applied, in case
of external use.
7. Renewal instructions:
In this part, the prescriber whether the prescription can be renewed or
not.
It also should include the specifications like how many times it can be
renewed.
It is of utmost importance incase of narcotic/other habitat forming
drugs.
8. Signature, Address and Regd.no of the prescriber:
The signature and Regd.no of the prescriber turns the prescription
into legal and authentic order to the pharmacist.
This helps in preventing the use of spurious drugs.
Regd.no is of utmost importance in prescription containing narcotic
drugs.
12. PRESCRIPTION ORDER SAMPLE
ASSIGNMENT:
Mention the roles of the following in dispensing and prescription.
1. Medical practitioner
2. Veterinary surgeon
3. Pharmacist
4. Pharmaceutical technologist
5. Pharmacy assistant
6. Nurse attendant.